Active NPI
Anna D Slatton, LAC
- Mental Health Counselor
- Paragould, AR
National Provider Identifier
1417183641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- P1402024
- Practice address
- 1101 Morgan Street
Suite 8
Paragould, AR 72450-3949 - Phone
- (870) 335-9483
- Fax
- (870) 335-9487
- NPI assigned
- Jun 2, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | P1402024 | AR | Primary |
Addresses
Primary practice location
1101 Morgan Street
Suite 8
Paragould, AR 72450-3949
Mailing address
1815 Pleasant Grove Road
Jonesboro, AR 72401-7870
Phone (870) 933-6886
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5DD20 | Other | AR | BCBS |
| 185176795 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4704 W Commercial Dr
Suite a
North Little Rock, AR 72116-8040
Phone (501) 397-1015
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P1402024 | AR | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Counseling LLC | Mental Health | Current | Accepting new patients |
| Families, Inc. of Arkansas | Mental Health | Past | Accepting new patients |
| Families, Inc. of Arkansas | Past | Accepting new patients | |
| Thriveworks Telepsychiatry - Arkansas | Mental Health | Past | Accepting new patients |
Locations
4704 W Commercial Dr
Ste A
North Little Rock, AR 72116
Phone (501) 397-1015
1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pocahontas, AR
- NPI 1275623035
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Paragould, AR
- NPI 1386728681
-
- Mental Health Counselor
- Fayetteville, AR
- NPI 1669130928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468540800000",
"number": "1417183641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1815 PLEASANT GROVE ROAD",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724017870",
"telephone_number": "870-933-6886",
"fax_number": "870-933-9395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 MORGAN STREET",
"address_2": "SUITE 8",
"city": "PARAGOULD",
"state": "AR",
"postal_code": "724503949",
"telephone_number": "870-335-9483",
"fax_number": "870-335-9487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLATTON",
"first_name": "ANNA",
"middle_name": "D",
"name_prefix": "Mrs.",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-02",
"last_updated": "2016-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AR",
"license": "P1402024",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "5DD20",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "185176795",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paragould, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.